RFA for lung met

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Joined: Sun Sep 27, 2015 11:29 am

RFA for lung met

Postby kandj » Thu Oct 04, 2018 6:20 pm

DH had a little nodule that had grown last July when they also found 4 more liver mets. Dr. K was less concerned about the nodule so the focus was on the liver Mets. He had 3 weeks of radiation on the lung Mets and several months of chemo (August 2017- May of 2018). The lung nodule disappeared after 3 chemos and it wasn’t noted again. Until Monday. It has come back and is 6mm. So quite small. His oncologist wants it removed (CT scan said follow closely). I agree with her though, just get it out.

So, if you had RFA how was it? How was the recovery? Inpatient or outpatient. Would especially love to hear from those that had it done at MSKCC.

Also, did you have chemo before the procedure? dr. K wants him to start 5fu again as the procedure isn’t until late November. I’m worried that the met will shrink and they won’t be able to ablate it. Just to then have it come back again. Ugh.
wife to DH, dx 8/15 stage IV @36, numerous unresectable liver Mets
resection and HAI placed 12/15
Liver resection 5/19/2016 15-20 mets removed (surgeon lost count, but it hopeful he got it all!)
Recurrence 7/2017 4 Liver mets and one possible lung met
Radiation on liver Mets 12/17
Lung met 10/18
VATS on lung met 11/18 started xeloda
Chemo break 6/19-11/19 lung/adrenal gland recurrence 11/19
Adrenal ablation2/20 Robotic Assisted VATS 3/20 Xeloda again

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Re: RFA for lung met

Postby betsydoglover » Thu Oct 04, 2018 7:07 pm

I had VATS not RFA for my small lung met - easy surgery. In my case the met was deep, so nuclear material was inserted under CT guidance and then during surgery the surgeon went for the "hotspot" - that was back in 2008. Recovery was easy. I suspect, but do not know, that RFA recovery is also relatively "easy". Elected to do Xeloda + Avastin post surgery, but that was my choice and others might make a different one.

We did the "watch and wait" thing without chemo before surgery, since I was off it anyway. The size did not change from 11/08 (when first detected) until 4/09 when resected.

Take care,
diag. Stage IV, 5/05, liver met
lap sigmoid colectomy, 6/05
6 cycles Xeloda/oxaliplatin/Avastin (NED after 2)
11/08 9x13mm right lower lobe lung nodule; removed via VATS 4/09
6 cycles Xeloda + Avastin
Avastin only 10/09-5/11
Still NED 06/18

Posts: 255
Joined: Wed Dec 30, 2015 11:29 am

Re: RFA for lung met

Postby crazylife » Fri Oct 05, 2018 11:12 am


It was super easy. In and out in a few hours. DH had it done at MSK.
Wife to DH, 41 years old, diagnosed 11/15
Stage 4, Mod diff, 13/24 LN, 1 liver met
Colon/liver resection at MSK, 11/15
8mm lung met (not confirmed) and enlarged lymph nodes 1/16
12 rounds of folfox (9 with Oxi) 6/16
NED - July 2016
NED - October 2016
3 lung mets - March 2017
7 lung mets, May 2017
RFA to largest met, June 2017
Lung mets growing slowly, October 2017 (off treatment since June 2016)
Right lung surgery, November 2017
Left lung surgery, January 2018
NED - May 2018

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